与农村初中青少年性早熟和性延迟相关的因素。

IF 3.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Teresa M Imburgia, Devon J Hensel, Abby Hunt, Rebecca James, Jianjun Zhang, Michele L Cote, Mary A Ott
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引用次数: 0

摘要

目的:过早开始性生活会在整个生命过程中造成不良的健康后果。我们采用社会行为模型来研究与中学生过早开始性行为相关的行为和态度以及推迟性行为的意愿:方法:在丙型肝炎和艾滋病感染率较高的农村社区,青少年在实施循证性教育计划之前填写了一份调查问卷。调查询问了参与者是否有过性行为,以及是否计划在高中毕业前禁欲。我们收集了人口统计数据、对禁欲的态度、拒绝性行为的原因、与父母的沟通、性健康知识以及系统参与史。我们采用逻辑回归法来研究与每项结果相关的因素:我们的样本包括 6799 名学生,年龄为 12.7 岁 ± 0.9,50.3% 为女性。5.1%的学生有过性行为,73.9%的学生计划在高中毕业前禁欲。过早发生性行为与年龄较大、对禁欲持消极态度、拒绝性行为的机构较低、父母在性问题上沟通较频繁、有儿童福利史和青少年犯罪史有关。计划在高中毕业前禁欲与以下因素有关:年龄较小、女性、对禁欲持积极态度、有较强的拒绝性行为的能力、与父母在性方面的沟通较少、与父母在人际关系方面的沟通较多、无寄养史、无青少年犯罪史:结论:年龄、主动性和与父母的沟通都与这两种结果有关。我们的研究结果凸显了早期全面、创伤知情性教育的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors associated with early sexual onset and delaying sex in rural middle school youth.

Purpose: Early sexual onset contributes to poor health outcomes through the life course. We use the social behavioral model to examine the behaviors and attitudes associated with early sexual onset and the intention to delay sex in middle school youth.

Methods: Youth in rural communities with high rates of hepatitis C and HIV filled out a survey prior to implementation of an evidence-based sex education program. Participants were asked if they had ever had sex and whether they planned to abstain from sex until the end of high school. We collected demographics, attitudes about abstinence, agency for sexual refusal, parent communication, sexual health knowledge, and history of system involvement. Logistic regression was utilized to examine factors associated with each outcome.

Findings: Our sample included 6,799 students, 12.7 years old ± 0.9 and 50.3% female. 5.1% had ever had sex and 73.9% planned to abstain until the end of high school. Early sexual onset was associated with older age, negative attitudes toward abstinence, lower agency for sexual refusal, more frequent parent communication about sex, history of child welfare, and history of juvenile involvement. Planning to abstain until the end of high school was associated with being younger, female, positive attitudes toward abstinence, higher agency for sexual refusal, less communication with parents about sex, more communication with parents about relationships, not having a history of foster involvement, and not having a history of juvenile involvement.

Conclusions: Age, agency, and parent communication were all associated with both outcomes. Our findings highlight the importance of early comprehensive, trauma-informed sex education.

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来源期刊
Journal of Rural Health
Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
7.60
自引率
6.10%
发文量
86
审稿时长
>12 weeks
期刊介绍: The Journal of Rural Health, a quarterly journal published by the NRHA, offers a variety of original research relevant and important to rural health. Some examples include evaluations, case studies, and analyses related to health status and behavior, as well as to health work force, policy and access issues. Quantitative, qualitative and mixed methods studies are welcome. Highest priority is given to manuscripts that reflect scholarly quality, demonstrate methodological rigor, and emphasize practical implications. The journal also publishes articles with an international rural health perspective, commentaries, book reviews and letters.
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